Abstract
Esophagectomy is no longer considered standard therapy for high-grade dysplasia and early esophageal cancer limited to the mucosa. Organ-sparing procedures including endoscopic resection in combination with various forms of ablation have been shown to be the preferable option for the treatment of early esophageal neoplasia in most cases. This chapter will discuss the data that have led to this paradigm shift in treatment, along with specifying ideal candidates for endoscopic therapies, current treatment modalities, clinical and safety outcomes, and specific management recommendations.
Original language | English (US) |
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Title of host publication | Shackelford's Surgery of the Alimentary Tract |
Subtitle of host publication | 2 Volume Set |
Publisher | Elsevier |
Pages | 382-390 |
Number of pages | 9 |
ISBN (Electronic) | 9780323402323 |
ISBN (Print) | 9780323531771 |
DOIs | |
State | Published - Jan 1 2019 |
Keywords
- Cryotherapy
- Dysplasia
- Early stage esophageal carcinoma
- Endoscopic resection
- Endoscopic treatment
- Esophageal adenocarcinoma
- Esophageal squamous cell carcinoma
- Esophagectomy
- Intramucosal cancer
- Mucosal resection
- Radiofrequency ablation
ASJC Scopus subject areas
- General Medicine